# BALTA FALLS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TRILEAL, LLC
- **Other names:** Mountain Vista Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821448036
- **Legal business name:** TRILEAL, LLC
- **Authorized official:** JONATHON EDWARDS (MANAGER)
- **Authorized official phone:** (480) 868-1864

## Contact information

- **Practice address:** 3125 W HUNT HWY, UNIT 101, SAN TAN VALLEY, AZ 85142-9315
- **Practice address phone:** (480) 868-1864
- **Mailing address:** 1945 S ARCO DR, GILBERT, AZ 85295-3017
- **Mailing address phone:** (480) 868-1864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D009375 | AZ | Yes |

## Other

- **Enumeration date:** 06/18/2016
- **Last updated:** 06/18/2016